skip to main content

Thoracolumbar spinal injury — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePre-Hospital Trauma ManagementThoracolumbar spinal injuryDipIMC

A 39-year-old man falls from a ladder and complains of severe thoracolumbar pain. He has normal power and sensation in both legs, is haemodynamically stable and can self-extricate with assistance. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Use supported self-extrication with spinal precautions and reassessment

In a stable patient with potential spinal injury, supported self-extrication may minimise movement and pain compared with forced rigid extrication. A long board is an extrication device rather than a transport surface and can cause harm if used for prolonged periods. Normal neurology does not exclude spinal injury. The pearl is that careful communication and patient participation can be safer than aggressive immobilisation.

Reference: JRCALC Guidelines 2025; NICE Spinal Injury NG41